Dr Matthew K Keider DDS PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

6236 Issued in NC

Legal business name

DR MATTHEW K KEIDER DDS PA

Practice address

3610 Westgate Center Cir
Winston Salem, NC 27103-2935

Phone

(336) 768-0480

Fax

(336) 760-5525

NPI assigned

Jan 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Matthew K Keider, DDSNPI 1720151400

Title

Dentist

Phone

(336) 768-0480

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Kelly Keider

  • General Practice Dentistry
  • Winston Salem, NC
  • NPI 1720151400
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1902884943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 WESTGATE CENTER CIR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032935",
            "telephone_number": "336-768-0480",
            "fax_number": "336-760-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 WESTGATE CENTER CIR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032935",
            "telephone_number": "336-768-0480",
            "fax_number": "336-760-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MATTHEW K KEIDER DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "KEIDER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "336-768-0480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "6236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Marie Doyle
• Jonathan Michael Doyle, MD
• Nicole Beth Doyle, PHD
• Latisha Dozier, MS, LPC, CRC
• Dr Hands Home Health Care/Transportation LLC
• Dr. B. Keith Cash - Optometry, PLLC
• Dr. Cameron & Associates of Winston-Salem, PLLC (Merhoff & Associates Pediatric Dentistry)
• Dr. Cameron & Associates XII, PLLC (CD Winston Salem)
• Dr. R Edward Mooring Jr. & Associates, PA (DentalWorks)
• Joseph Daniel Dragonetti, M.D.

• Dental Clinic/Center in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.